Kendricke Duvaughn Wilson
NPI #1053160820 in Rockaway, New Jersey
Provider Information
- NPI Number
- 1053160820
- Entity Type
- Individual
- Name
- Kendricke Duvaughn Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 15, 2024
- Last Updated
- May 15, 2024
Practice Location
- Address
- 25 W MAIN ST STE A
- City
- Rockaway
- State
- New Jersey
- ZIP Code
- 07866-3435
- Phone
- (973) 625-1998
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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